No office rate
Both address lower-leg extensor tendon repair, but 27664 is for primary repair without graft. Use 27665 for secondary repair, with or without graft.
On this page
CMS RVU26D · Effective 2026-10-01
27665 Tendon repair Medicare reimbursement rates in Maine
Reports secondary repair of an extensor tendon in the lower leg, with or without a graft, for each tendon treated. Compare 27665 office and facility rates across CMS payment localities in Maine.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27665 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$373.37–$387.05
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Tendon surgery
About 27665: Secondary lower-leg extensor tendon repair
Reports secondary repair of an extensor tendon in the lower leg, with or without a graft, for each tendon treated.
This code describes secondary repair of an extensor tendon in the lower leg, performed without a graft or with graft material when needed. It may be used for delayed or previously treated tendon injuries when the surgeon repairs an extensor tendon such as the tibialis anterior or a toe extensor. Orthopedic surgeons and foot and ankle surgeons typically perform the procedure in an operating room, often for chronic tendon disruption or a failed prior repair.
Report one unit for each tendon repaired, and document the specific tendon, the injury or prior repair, the secondary nature of the procedure, and whether graft material was used. Code 27664 is the primary-repair counterpart; code 27665 is not the code for a primary repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27665
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.43 · 45%
- Practice expense (office) RVU5.66 · 47%
- Malpractice RVU0.87 · 7%
610
Medicare services in 2024 · #3376 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27665 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
27659 is for secondary repair of a flexor tendon. Choose 27665 when the repaired tendon is an extensor tendon.
No office rate
27654 is a secondary repair code specific to the Achilles tendon. Use 27665 for secondary repair of another lower-leg extensor tendon.
Compare 27665 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$373.37
Southern Maine →
Office / nonfacility
Unavailable
Facility
$387.05
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27665 billing questions
How does 27665 differ from 27664?
27665 is for secondary repair of a lower-leg extensor tendon, with or without graft. Use 27664 for primary repair without graft.
Can 27665 be reported for a flexor tendon?
No. It applies to extensor tendons; codes 27658 and 27659 describe flexor tendon repair, with the primary or secondary distinction determining the applicable code.
How many units should be reported?
The code is reported for each tendon repaired. The operative report should identify each tendon treated.
Is the preoperative visit or routine postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used when both legs are treated?
No. CMS indicates that bilateral adjustment does not apply and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,99727658,,Repair of leg tendon each,A,,4.99,4.94,NA,4.94,,0.76,10.69,10.69,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99827659,,Repair of leg tendon each,A,,6.92,5.46,NA,5.46,,0.99,13.37,13.37,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99927664,,Repair of leg tendon each,A,,4.61,4.98,NA,4.98,,0.71,10.30,10.30,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00027665,,Repair of leg tendon each,A,,5.43,5.66,NA,5.66,,0.87,11.96,11.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00127675,,Repair lower leg tendons,A,,7.17,5.81,NA,5.81,,1.07,14.05,14.05,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00227676,,Repair lower leg tendons,A,,8.51,7.20,NA,7.20,,1.48,17.19,17.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00327680,,Release of lower leg tendon,A,,5.73,5.54,NA,5.54,,0.96,12.23,12.23,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00